How much rates vary
Facilitymedian $5,248 · 10th to 90th $3,020 to $12,023Professionalmedian $4,786 · 10th to 90th $2,344 to $7,762
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $8,128.31 | Professional | None | $5,128.61 | $5,128.61 | $8,128.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $5,888.44 Typical High $8,511.38 | Facility | None | $5,248.07 | $5,888.44 | $8,511.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,019.95 Median $5,248.07 Typical High $6,456.54 | Professional | None | $3,019.95 | $5,248.07 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $3,019.95 Median $10,471.29 Typical High $21,877.62 | Facility | None | $3,019.95 | $10,471.29 | $21,877.62 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $3,311.31 Typical High $9,772.37 | Professional | None | $2,187.76 | $3,311.31 | $9,772.37 |
DeanCare Setting Facility Modifier None Typical Low $2,570.40 Median $5,128.61 Typical High $5,888.44 | Facility | None | $2,570.40 | $5,128.61 | $5,888.44 |
DeanCare Setting Professional Modifier None Typical Low $4,677.35 Median $5,128.61 Typical High $6,165.95 | Professional | None | $4,677.35 | $5,128.61 | $6,165.95 |
Medica Setting Facility Modifier None Typical Low $2,884.03 Median $5,128.61 Typical High $20,892.96 | Facility | None | $2,884.03 | $5,128.61 | $20,892.96 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $3,090.30 Typical High $26,302.68 | Professional | None | $2,344.23 | $3,090.30 | $26,302.68 |
Network Health Setting Facility Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Facility | None | $8,128.31 | $8,128.31 | $8,128.31 |
Network Health Setting Professional Modifier None Typical Low $3,715.35 Median $4,786.30 Typical High $8,912.51 | Professional | None | $3,715.35 | $4,786.30 | $8,912.51 |
Prevea360 Setting Facility Modifier None Typical Low $2,570.40 Median $5,128.61 Typical High $5,888.44 | Facility | None | $2,570.40 | $5,128.61 | $5,888.44 |
Prevea360 Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,128.61 | Professional | None | $4,677.35 | $4,677.35 | $5,128.61 |
Quartz Setting Professional Modifier None Typical Low $4,365.16 Median $6,918.31 Typical High $10,000.00 | Professional | None | $4,365.16 | $6,918.31 | $10,000.00 |
Quartz Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Quartz Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $3,019.95 | Professional | None | $2,187.76 | $2,187.76 | $3,019.95 |
United Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $2,951.21 Typical High $4,365.16 | Professional | None | $1,698.24 | $2,951.21 | $4,365.16 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,570.40 Median $2,570.40 Typical High $4,073.80 | Professional | 52 · Reduced service | $2,570.40 | $2,570.40 | $4,073.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,023.29 Median $1,023.29 Typical High $1,621.81 | Professional | 53 · Discontinued | $1,023.29 | $1,023.29 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $758.58 Median $758.58 Typical High $1,202.26 | Professional | 55 · Aftercare only | $758.58 | $758.58 | $1,202.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $512.86 Median $512.86 Typical High $812.83 | Professional | 56 · Pre-op care only | $512.86 | $512.86 | $812.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $302.00 Median $302.00 Typical High $691.83 | Professional | RR · Rental | $302.00 | $302.00 | $691.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,290.87 Median $2,290.87 Typical High $2,398.83 | Professional | UE · Used equipment | $2,290.87 | $2,290.87 | $2,398.83 |
Where Wisconsin sits
The same service costs 2.4 times more in Hawaii than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 2nd of 51
$5,129
HI $5,248WV $2,188
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.